Pathology 9 - MSK Flashcards by VB VB

RC tear - cause of tear

traumatic
or
degentrative

How well did you know this?

Not at all

Perfectly

RC tear - special tests

drop arm

painful arm

ER lag sign

RC - MMT’s

How well did you know this?

Not at all

Perfectly

RC tear - degentractive tear population

> 50

due to chronic degen patho

How well did you know this?

Not at all

Perfectly

RC tear - partial thickness tear vs full thickness

partial : only through part of the tendon

full: complete tear of the tendon

How well did you know this?

Not at all

Perfectly

RC tear - size of full tear

1 cm = small

5 cm = large

How well did you know this?

Not at all

Perfectly

RC tear - signs and symptoms (arm position)

add and IR

How well did you know this?

Not at all

Perfectly

RC tear - signs and symptoms

point tenderness at greater tubercle and acromion

lack of shoulder flexion and abd - upper trap recruitment

increased tone in anterior shoulder region

pain in lateral shoulder and raditing pain in the upper arm

How well did you know this?

Not at all

Perfectly

RC tear - how long is immoblization normally after surgery for large tears

4-6 weeks

How well did you know this?

Not at all

Perfectly

RC tear - how long to return to function actives that include over head actives

9 - 12 months

How well did you know this?

Not at all

Perfectly

RC tear - what tendon is often involved

supraspinatus

with more traumatic subscapularis and infraspinauts may get involved

How well did you know this?

Not at all

Perfectly

RC tear - what is the most common complaint

pain and weakness

How well did you know this?

Not at all

Perfectly

what nerve serve the subscapular muscle

subscapular nerve (C5,6,7)

How well did you know this?

Not at all

Perfectly

what does the suprascapular nerve serve in the RC

infraspinatus and supraspinatus

C5 and C6

How well did you know this?

Not at all

Perfectly

what nerve serve the teres minor

axillary nerve

C5 and C6

How well did you know this?

Not at all

Perfectly

what is the function of the suprspinatus

assist with abd

depress the humeral head

How well did you know this?

Not at all

Perfectly

what is the function of the teres minor and infraspinatus

GH ext - just infra

How well did you know this?

Not at all

Perfectly

what is the function of the subscapularis

depress the humeral head

How well did you know this?

Not at all

Perfectly

RC - is pain normally more with full or partial tear

patrial tear because of the pressure on the remain tendon

How well did you know this?

Not at all

Perfectly

RC tear - imaging

MRI

How well did you know this?

Not at all

Perfectly

special tests for the supraspinatus

empty can

How well did you know this?

Not at all

Perfectly

what is more aggressive ampty can or full can

empty can

this why we test it second

How well did you know this?

Not at all

Perfectly

biceps tendon rupture - pop

men 40-60

secondary to chronic inflammation or degeneration

How well did you know this?

Not at all

Perfectly

biceps tendon rupture - pain presentation

worse with overhead activities

pain is the primary characteristix

How well did you know this?

Not at all

Perfectly

what are the special tests for a SLAP lesion

Obrien’s

anterior slide test

biceps 1 and 2

crank

How well did you know this?

Not at all

Perfectly

what are the special test with SLAP lesion and long head of the biceps tendon

YSL yergasons speeds

will osgood-schlatter diease take care of it self

yes the condition normally resolve in time without intervention

Osteogenesis Imperfecta - what kind of disorder

congenital connective tissue disorder

Osteogenesis Imperfecta - what does it effect

affects the formation of collagen during bone development reduced collagen production by 20-50%

Osteogenesis Imperfecta - TYPE 1

mildest form near normal growth freq fx - normally stop after puberty no deformity blue sclera easy bruising triangular face possible hearing loss

Osteogenesis Imperfecta - TYPE 2

most severe child dies in utero or by early childhood soft skull

Osteogenesis Imperfecta - TYPE 3

severe greater ossification of the skull compared to type 2 multiple fx growth retardation severe osteoprosis deformities sig limitation in functional mobility blue sclera trianglur face

Osteogenesis Imperfecta - TYPE 4

milder fx prior to puberty hearing loss may or may not have short stature bowing of long bones barrel of ribs normal sclera brittle teeth normal life expantyy

Osteogenesis Imperfecta - how do we get it

inherited 1 and 4: autosomal dominent 2 and 3: autosomal recessive trait

Osteogenesis Imperfecta - sign and sym

pathological fx osteoporosis hypermobile joints bowing of the long bones weakness scoliosis impaired respiratory function

Osteogenesis Imperfecta - treatment PT

AROM that are symmetrical positioing functional mobility

what does congenital mean

a condition. that exist at birth

Osteogenesis Imperfecta - testing lab

skin biopsy is used to examin collogen Xray to look at deformities bone desitometer- used to measure bone mass

Osteogenesis Imperfecta - type 1 what type of amb

community

Osteogenesis Imperfecta - type 4 what type of amb

1/2 household 1/4 community

Osteogenesis Imperfecta - type 3 what kind of amb

1/4 houselhold

Osteogenesis Imperfecta - pharm

biophosphate drugs

what is the function of biophosphate drugs

increase bone density

whould kids be given steriods

no - becasue deplete bone and increass fragility

Osteogenesis Imperfecta - what weight should the orhtodics be

light weight

Osteogenesis Imperfecta - strengthing activities don'ts

rotational forces placing weight or resistance near a joint using long lever arms

Osteogenesis Imperfecta - when is rodding indicated

fx in the same bone within 6 months when the angle of a long bone does not allow for stable amb

Osteogenesis Imperfecta - amb prediction

type of OI childs ability to sit by 10 months

what is the best way to determine if someone has osteomyltis

bone biopsy

is PFPS more common in women or men

women - htink of me as a runner

sciatic nerve root levels

L4-S3

what is a duck bill deformity

a swan neck deformity of the thumb

what is the orthopedic condition to mimics L1-L5 radiulopathy

piriformis syndrome

OA pain is described as

deep, poorly localized, and aching which is exacerbated by activity and relieved by rest.

what is the peak onset for OA

late 40-50s

According to the American College of Rheumatology, how many of the 7 criteria must be satisfied for a diagnosis of rheumatoid arthritis to be confirmed?

4 of the 7

deformities and RA

affects joints symmetrically, but deformities are asymmetrical asymmetry is attributed to increased use of a dominant extremity or protection of a painful extremity.

what is chondromalacia patella

softening of the articular cartilage of the patella

what are the signs and sym of chondromalacia patella

anterior knee pain, pain with prolonged sitting, swelling, crepitus pain when ascending and descending stairs.

Which areas of the spine are most susceptible to osteoarthritis?

lower cervical and lower lumbar

what areas are the most susceptible to osteoarthritis due to obesity

Knees > hip > hands

what is coxa vara and valga

the angle of the femoral head normal is 125-deg

what is genu vara and valga

valgum = knocked knees varus = bowed knees

what is femoral anterversion and retroversion

transverse plane femur toes in = retroversion (decreased angle) toes out = anterversion (increased angle)

what is Femoroacetabular impingement

a condition in which one or both bones of the hip joint are irregularly shaped, causing them to rub against one another. CAM = men PINCER = women

CAM FAIS

femoral head is misshapen

Pincer FAIS

overgrowth of the acetabular rim.

Pain from osteoarthritis of the hip is most commonly experienced in which location?

groain

Osteogenesis imperfecta’s hypermobile or hypoobile joint

hypermobile joints